Blood pressure Meds
This medication is an ace inhibitor and works by dilating blood vessels, and reducing the heart's workload.
Lisinopril and/or captopril
This cardiac medication has a high risk for drug toxicity. What is the name of this medication and list one indication of toxicity?
Digoxin and yellow/green halos
Protamine sulfate
What are the normal ranges for respirations, HR, BP, temperature, and SpO2?
HR= 60-100 bpm, BP= 120/80 mm HG, T= 98.6F and SpO2= (94-100%)
What are signs and symptoms of hypoglycemia?
Shaky, pale, cool, clammy
NAME THREE BETA BLOCKERS AND DESCRIBE HOW YOU KNOW THEY ARE EFFECTIVE?
Atenolol, propranolol, and labetalol. They lower blood pressure by slowing the heart rate and reducing myocardial contractility.
What should the nurse assess prior to administering morphine?
Pain level and respirations
What is the antidote for warfarin?
Vitamin K
What are the normal ranges for sodium, potassium, and magnesium?
Sodium= 135-145
Potassium= 3.5-5
Magnesium= 1.7-2.2
Which medication has no peaks, and is not mixed?
Long acting glargine
The duration is 24 hours
NAME THREE CALCIUM CHANNEL BLOCKERS AND TELL ME WHICH PATIENT IS MOST LIKELY TO BE PRESCRIBED THIS MEDICATION?
Amlodipine, nifedipine, and diltiazem
African Americans
What is the therapeutic range for digoxin?
0.5-1 (I think)
What is the antidote for opioids?
Naloxone (Narcan)
What are the normal ranges for BUN, Creatinine, and GFR?
BUN= 10-20
Creatinine= 0.7-1.2
GFR must be higher than 60, typically 60-120.
Which medication is never IV, and is mixed clear to cloudy?
NPH which is the intermediate insulin
Name two angiotensin-II receptor antagonist and explain their action.
Losartan and Valsartan
These medications inhibit blood vessel constriction which helps relax blood vessels and lower BP
What should the nurse assess for prior to administering digoxin?
Heart rate must be above 60 bpm, if not hold the medication.
What is the antidote for benzodiazepines? AND
List three benzodiazepines.
Flumazenil
Alprazolam (Xanax), Clonazepam (Klonopin), and Diazepam (Valium)
What are the ranges for ABGS?
pH= 7.35-7.45
Co2= 35-45
BICARB= 22-26
This medication is the ONLY IV insulin and has a duration of 5-8 hours.
Second part: when does it peak?
Regular insulin and it peaks 2-4 hours
DOUBLE JEOPARDY
NAME 3 DIURETICS AND EXPLAIN WHICH ONE(S) PUT THE PATIENT AT RISK FOR HYPOKALEMIA AND WHICH ONE(S) PUT THE PATIENT AT RISK FOR HYPERKALEMIA
Spironolactone, hydrochlorothiazide, furosemide
Spironolactone spares potassium so there is a risk for hyperkalemia.
Hydrochlorothiazide and furosemide both loose potassium= risk for hypokalemia
Name a corticosteroid and explain its use as well as 2 side effects.
Prednisone is a steroid that is used for its anti-inflammatory properties. It can lower WBC and make the patient more susceptible to infection. It can also cause weight gain with long-term use (moon face), fluid retention, and upset stomach.
Antidote for digoxin AND antidote for Tylenol
digoxin immune fab
Tylenol- N-acetylcysteine as well as charcoal
pH 7.29 CO2= 36 BICARB= 21
Metabolic acidosis with no compensation
(pH is low which means its acidic, CO2 is normal and bicarb is low meaning less basic= more acidic)
This medication is rapid acting and has a duration of 3-5 hours.
What should be done prior to administering this?
Why is this important?
Lispro and food should always be given with this insulin. This is the most deadly because its rapid. The onset is 15 minutes and the peak is 30-90 minutes.